​Release and Waiver of Liability and Indemnity Agreement
(Read Carefully Before Signing)
 
In consideration of being permitted to participate in any way in the Martial Arts Program indicated below and/or being
permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public
is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:
 
1.        The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below
martial arts activity or event, he or she should inspect the facilities and equipment to be used, and if he or she
believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to
participate.  I understand and agree that, if at any time, I feel anything to be UNSAFE; I will immediately take all
precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
2.        I/We fully understand and acknowledge that:
a.        There are risks and dangers associated with participation in martial arts events and activities which
could result in bodily injury partial and/or total disability, paralysis and death.
b.        The social and economic losses and/or damages, which could result from these risks and dangers
described above, could be severe.
c.        These risks and dangers may be caused by the action, inaction or negligence of the participant or the
action, inaction or negligence of others, including, but not limited to, the Releasees named below.
d.        There may be other risks not known to us or are not reasonably foreseeable at this time.
3.        I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury,
disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the
Releasees named below.
4.        I/We HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the martial arts facility used
by the participant, including it owners, managers, promoters, lessees of premises used to conduct the martial arts
event or program, premises and event inspectors, underwriters, consultants and others who give recommendations,
directions or instructions to engage in risk evaluation or loss control activities regarding the martial arts facility or
events held at such facility and each of them, their directors, officers, agents, employees, all for the purpose herein
referred to as “Releasee”…From all liability to the undersigned, my/our personal representatives, assigns,
executors, heirs and next to kin For any and all claims, demands, losses or damages and any claims or demands
therefore on account of any injury, including but not limited to the death of the participant or damage to property,
arising out of or relating to the events(s) caused alleged to be caused in whole or in part by the negligence of the
releasee or otherwise.
5.        I/We HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve
the risk of serious injury and/or death and/or property damage.  Each of THE UNDERSIGNED also expressly
acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT
RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
6.        EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity
agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the
event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding
continue in full legal force and effect.
7.        On behalf of the participant and individually, the undersigned partners(s) and/or legal guardian(s) for the minor
participant executes this Waiver and Release.  If, despite the release, the participant makes a claim against any of
the Releasees, the parents(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have
paid to the participant, or on his behalf , and hold them harmless.
 
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY
AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT,
ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND
UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
 
Student/Participant Signature   ____________________________________
 
Parent or Guardian Signature (if minor) ____________________________________
 
Printed Name of Participant _______________________________________________
 
Phone Number  ____________________________________________________
 
Received by ________________________________________